A local pedorthist is a medical professional who is trained in foot health and care of the ankle and lower legs. A local pedorthist will fit patients with a variety of pedorthic devices to treat injuries and conditions. Patients with type 1 or type 2 diabetes may work with a local pedorthist to prevent diabetes-related foot conditions. Your local pedorthist may work with your local endocrinologist to create the best diabetes treatment plan for your situation.
Diabetes can affect the foot fairly significantly.Typically, what you see in a foot with diabetes, whether its type 1 or type 2 , is that there will be decreased circulation and decreased sensation. So the lack of circulation really affects healing time so proper footcare is really important by someone whos trained in treating a diabetic foot.
In terms of sensation changes in the foot you will have decreased sensation typically with diabetes, and it gets worse the longer you have the disease. Its really important with decreased sensation to work with someone who can fit shoes properly and who can fit insoles properly, if thats needed, a specialist in those areas.
In terms of the shoe you want to make sure theres no seams on the inside of the shoe to irritate the top of the foot, and in terms of the insole you want to make sure that its distributing the pressure across the bottom of the foot. If there are any bony prominences there that are going to be prone to breakdown, that you have a little bit of an accommodation in the area of the prominence, just to even the pressure out through the bottom of the foot.